Reference no: EM132470484

A patient with septicemia is rapidly deteriorating. His blood pressure is now 78/50 mm Hg, pulse is 98 b.p.m. and respiratory rate is 24 b.p.m. The AGACP suspects which acid-base imbalance?

• Metabolic acidosis
• Metabolic alkalosis
• Respiratory acidosis
• Respiratory alkalosis

Clinically relevant differences between delirium and dementia include all of the following except:

• Time of onset
• Symptom presentation
• Response to management
• Age of the patient

Crystal K. is a 13-year-old female who arrives in the emergency room with her mother. Mom says she has not felt well for the last day or two, but today she is very weak and feels sick to her stomach. Serum glucose is 529 mg/dL, serum ketones are present, and the bicarbonate level is 8 mEq/dL. Crystal's pH is 7.14. Crystal was rapidly infused 1 L of normal saline solution. The next step in her care is to:

• Begin sliding scale insulin
• Begin electrolyte replacement
• Maintain NSS at 1L/hr and insulin gtt at 0.1 u/kg/hr
• Maintain NSS at 1L/hr and add 40 mEq HCO3-

Mrs. Woodson is a 71-year-old female with a long history of hypertensive heart disease. She has been admitted for an evaluation of increasing fatigue and activity intolerance; she had a near syncopal episode today while walking upstairs. Her vital signs reveal a blood pressure of 138/90 mm Hg, pulse of 100 b.p.m and bounding, respirations of 20 b.p.m. and her temperature is normal. She has jugular venous distention and + pitting bilateral lower extremity edema to the mid-calf. The AGACNP knows that initial diagnostic testing should include:

• Chest CT
• Blood cultures
• A B-type natriuretic peptide
• Bilateral lower extremity Doppler's